Mainehealth

NPI #1023321593 in Windham, Maine

Provider Information

NPI Number: 1023321593
Entity Type: Organization
Organization Name: Mainehealth
Subpart: Yes (part of a larger organization)
Parent Organization: MAINEHEALTH
Primary Specialty: Internal Medicine
Enumeration Date: Jul 26, 2010
Last Updated: Dec 19, 2022

Practice Location

Address: 584 ROOSEVELT TRL
City: Windham
State: Maine
ZIP Code: 04062
Phone: (207) 892-3233

Authorized Official

Name: LUGENE ANTHONY INZANA
Title: SVP FINANCE/CFO
Phone: (207) 662-3538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
General Acute Care Hospital	282N00000X
Physician Assistant	363A00000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Internal Medicine	207R00000X	Primary

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